Dr. med. Dirk Manski



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Renal Arteriovenous Fistula and AV Malformations

Definitions

Renal arteriovenous fistula:

An arteriovenous fistula is defined as a single pathological communication between the renal artery and vein, most often due to trauma or degeneration.

Renal arteriovenous malformation:

A arteriovenous malformation is defined as multiple pathological communications between artery and vein with a vascular nidus that bypass the capillary bed. Arteriovenous malformations are most often congenital (Cura et al, 2010).

Etiology of Renal AV Fistula

Signs and Symptoms

Diagnostic Work-up

Treatment of renal AV-fistula

Endovascular therapy is the treatment of first choice: selective embolization, occlusion with coils or placement of a stent. Open surgery is reserved for difficult cases. Partial nephrectomy should be attempted in good renal function. (Laparoscopic) nephrectomy is necessary in the absence of renal function or if large AV fistulas cannot be controlled. If present, medical treatment of hypertension and cardiac failure is paramount.







Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z



References

Cura, M.; Elmerhi, F.; Suri, R.; Bugnone, A. & Dalsaso, T.
Vascular malformations and arteriovenous fistulas of the kidney.
Acta Radiol, 2010, 51, 144-149.


  Deutsche Version: Arteriovenöse Fistel der Nierengefäße